-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Vt4npxNvYbBRN/LDhflui6wZEu5MsRRSd2uUYhJKle56qvDrk78rAQ+3iWlBlNV/ NQD+2YqmG83Xn9zYstysGw== 0000913849-02-000038.txt : 20020414 0000913849-02-000038.hdr.sgml : 20020414 ACCESSION NUMBER: 0000913849-02-000038 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020206 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MIDWEST BANC HOLDINGS INC CENTRAL INDEX KEY: 0001051379 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 363252484 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-55861 FILM NUMBER: 02528688 BUSINESS ADDRESS: STREET 1: 501 W NORTH AVE CITY: MELROSE PARK STATE: IL ZIP: 60160 BUSINESS PHONE: 7088651053 MAIL ADDRESS: STREET 1: 501 WEST NORTH AVENUE CITY: MELROSE PARK STATE: IL ZIP: 60160 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ROSASCO LEROY CENTRAL INDEX KEY: 0001079863 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 501 WEST NORTH AVENUE CITY: MELROSE PARK STATE: IL ZIP: 60160 BUSINESS PHONE: 7088651053 MAIL ADDRESS: STREET 1: 501 WEST NORTH AVENUE CITY: MELROSE PARK STATE: IL ZIP: 60160 SC 13G/A 1 s13ga-rosasco_020502.txt SCHEDULE 13G/A SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G (RULE 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. 5)1 MIDWEST BANC HOLDINGS, INC. ----------------------------------------------------- (Name of Issuer) COMMON STOCK ----------------------------------------------------- (Title of Class of Securities) 598251106 ----------------------------------------------------- (CUSIP Number) December 2001 ----------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [x] Rule 13d-1(d) - ---------- 1 The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 598251106 13G Page 2 of 5 Pages - -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) LeRoy Rosasco - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] N/A (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen - -------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER SHARES 834,450 BENEFICIALLY -------------------------------------------------------------- OWNED BY 6. SHARED VOTING POWER EACH 168,000 REPORTING -------------------------------------------------------------- PERSON 7. SOLE DISPOSITIVE POWER WITH 834,450 -------------------------------------------------------------- 8. SHARED DISPOSITIVE POWER 168,000 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,002,450 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES N/A [ ] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 9.4% of 10,712,392 shares of Common Stock outstanding as of December 31, 2001. - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON IN - -------------------------------------------------------------------------------- CUSIP NO. 598251106 13G Page 3 of 5 Pages ITEM 1(a). NAME OF ISSUER: Midwest Banc Holdings, Inc. -------------------------------------------------------------- ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 501 West North Avenue Melrose Park, IL 60160 -------------------------------------------------------------- ITEM 2(a). NAME OF PERSON FILING: LeRoy Rosasco -------------------------------------------------------------- ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 1009 Bonnie Brae #3C River Forest, IL 60305 -------------------------------------------------------------- ITEM 2(c). CITIZENSHIP: Mr. Rosasco is a U.S. Citizen -------------------------------------------------------------- ITEM 2(d). TITLE OF CLASS OF SECURITIES: Common Stock -------------------------------------------------------------- ITEM 2(e). CUSIP NUMBER: 598251106 -------------------------------------------------------------- ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A: (a) [ ] Broker or dealer registered under Section 15 of the Exchange Act; (b) [ ] Bank as defined in Section 3(a)(6) of the Exchange Act; (c) [ ] Insurance company as defined in Section 3(a)(19) of the Exchange Act, (d) [ ] Investment company registered under Section 8 of the Investment Company Act, (e) [ ] Investment adviser in accordance with Rule 13(d)-1(b)(1)(ii)(E); (f) [ ] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); (g) [ ] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act; (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). If this Statement is filed pursuant to Rule 13d-1(c), check this box. [ ] CUSIP NO. 598251106 13-G Page 4 of 5 Pages ITEM 4. OWNERSHIP. (a) Amount beneficially owned: 1,002,450 ---------------------------------------------------------------- (b) Percent of class: 9.4% ---------------------------------------------------------------- (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 834,450 ------------------ (ii) Shared power to vote or to direct the vote: 168,000 --------------- (iii) Sole power to dispose or to direct the disposition of: 834,450 -------------------------------------------------------- (iv) Shared power to dispose or to direct the disposition of: 168,000 -------------------------------------------------------- ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. N/A CUSIP NO. 598251106 13-G Page 5 of 5 Pages ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. N/A ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. N/A ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. N/A ITEM 9. NOTICE OF DISSOLUTION OF GROUP. N/A ITEM 10. CERTIFICATION. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: 2/6/02 /s/ LeRoy Rosasco --------------------------------------- LeRoy Rosasco, Director -----END PRIVACY-ENHANCED MESSAGE-----